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CITY OF ORONO * 2 0 1 7 - 0 0 0 1 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2017 <br /> ` ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 725 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0008 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 20 BLOCK 1 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES,DETACHED <br /> VALUATION : $ 800,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRBD:PLUMBING,MECHANICAL,SEPTIC,F[REPLACE,WELL(STATE),ELECTRICAL(STATE) <br /> NOTE: PLEASE SEE AND IN[TIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 5,204.92 <br /> STATE SURCHARGE(VALUATION) 400.00 <br /> SWANSON HOMES <br /> 1360 HAMEL ROAD TOTAL 5,604.92 <br /> MEDINA, MN 55340- Payment(s) <br /> (763)478-0320 CHECK 37905 5,604.92 <br /> Minnesota State License#: BUIL-627982 <br /> OWNER <br /> RUSIN,GRANT&AMANDA <br /> 15508 60TH AVE N <br /> PLYMOUTH, MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tit�ie)for du�us�.-� /� ,� <br /> , (-1 ii.,' / . j.; � J. � i/� - . �j% . /'.,\ - -- <br /> �(i d• J / <br /> r' �� � �'; > \ (" � � � i >l.' _ � � � � / <br /> � - <br /> Ap ip cant Permitee Signature Date (ssued�y i at re Date <br />